The Consult Before the Cut

Is skincare safe during pregnancy? In this week’s episode, medical aesthetician Ashton McDonald of Weiler Plastic Surgery’s Metairie clinic sits down with Chanen Johnson, influencer and expecting mom, to break down pregnancy-safe skincare and aesthetic treatments. Learn which ingredients to avoid, how to manage pregnancy acne, texture changes, and melasma, and which treatments you can still enjoy, such as Diamond Glow facials and dermaplaning.
Ashton also walks through the AM and PM routine she built for Chanen, featuring the ZO Skin Health Gentle Cleanser, peptides, Brightalive, and sunscreen. Chanen shares the treatments she misses most, including microneedling, filler, and facial balancing, and what she’s looking forward to postpartum. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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0:00 Cold Open + Welcome3:24 Meet Ashton McDonald, Medical Aesthetician7:13 Why Ingredients Matter During Pregnancy8:49 Today's Topic: Glowing for Two9:59 Commercial Break11:01 Chanen Returns + Her Pregnancy Test Story14:41 How Pregnancy Changes Your Skin: Acne, Texture & Pigment19:04 Pregnancy Skincare Dos and Don'ts22:07 Chanen's AM & PM Skincare Routine24:26 Exfoliating Polish: Morning or Night?26:58 The Urge to Get Treatments While Pregnant28:26 Diamond Glow & Dermaplaning During Pregnancy30:05 The Treatments Chanen Misses Most32:17 Advice for First-Time Pregnant Moms35:09 Ashton's Story: The Day Chanen Found Out37:02 Pregnancy Self-Care Beyond Skincare40:15 Postpartum Plans + Wrap-Up

This week, former NFL star receiver Eddie Kennison is back with a one-year update on his TRT, Tirzepatide, and peptide journey. Eddie shares how he went from running on empty to feeling like himself again, including his energy, mental clarity, recovery, and body composition. Rejuvime Medical's Mariah Butcher, FNP-C breaks down his full protocol. Learn why a provider-guided plan with labs and ongoing monitoring matters, and why feeling “fine on paper” isn’t the same as feeling optimized. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 Cold Open00:34 Welcome to The Consult Before The Cut01:15 Catching Up with Mariah02:41 Thank You to Our Sponsors + Following Patient Journeys04:56 Why Former Athletes Are Such a Special Patient Group06:48 "Fine on Paper" vs. Truly Optimized07:53 What Mariah Looks for Beyond the Lab Results09:53 Why Ongoing Provider Support Matters10:52 Setting Up Eddie's Return12:15 Commercial Break13:17 Eddie Kennison Is Back14:01 Eddie's Background: LSU, Track & 13 Years in the NFL17:20 Life After Football: The Weight He Couldn't Lose19:41 Family Heart History & Staying Disciplined22:23 Then vs. Now: Running on Empty to Full Energy23:49 Labs Improve, 22 Pounds Down & Back in the Gym26:55 Cholesterol & Cardiovascular Health Wins28:05 From "Hurricane Fog" to Sunny and Bright31:02 Energy for Parenting & Grandkids33:59 Eddie's Protocol Breakdown with Mariah34:21 Tirzepatide: Inflammation, Metabolic Health & Joint Relief38:08 Testosterone Injections39:00 Pregnyl (hCG)39:34 Lipo C40:34 Glutathione42:43 The Glow Stack (GHK-Cu, BPC-157, KPV, TB-500)44:58 Tesamorelin/Ipamorelin & Visceral Fat46:39 Showing Up for Yourself First49:00 What Eddie Tells People Who Ask "What Are You Doing?"50:14 Why a Provider-Guided Plan Beats DIY Online Options52:07 Eddie's Heartfelt Thank You53:04 Wrap-Up + Thank You to Eddie53:45 Sign-Off & Follow Us

Shop medical-grade skincare from home! In this week's episode, our hosts sit down with Gabi Steib-Dennis, Inventory Specialist at Weiler Plastic Surgery, to go behind the scenes of the practice’s online skincare store. Learn why buying from an authorized physician reseller matters, how to avoid counterfeit skincare on Amazon and other marketplaces, and how to build an at-home regimen with professional guidance. Thanks for watching and be sure to follow for new episodes every Tuesday!
🎉 Bootox Special: Get 20% off ALL skincare products ALL MONTH long featuring our annual Bootox event, October 12–17! 
🛍️ Shop the store: https://store.weilerplasticsurgery.com/
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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0:00 Cold Open0:22 Welcome to The Consult Before The Cut0:57 Banter & Catch-Up6:27 Today's Topic: Medical-Grade Skincare, Delivered6:48 Sponsors8:24 Commercial Break9:24 Meet Gabi: Her Path to Weiler Plastic Surgery12:04 Why Weiler Built an Online Store14:59 Counterfeit Skincare & Why Authenticity Matters16:48 Building the Store From Scratch19:06 Launch Day: First Order in 6 Hours19:37 Convenience & Consistency in Skincare22:37 Subscribe & Save: Set It and Forget It24:42 Free Shipping & Building Your Regimen28:12 How Many Products Are on the Site?29:42 Gift Cards for Skincare & Services31:05 Financing Your Regimen32:08 Trusted Brands & Why You Should Reassess Your Skincare35:26 Skincare Is an Ecosystem36:16 Shipping Times & Packaging Patients Love39:27 Do You Need to Be a Patient? + Shipping to Bermuda41:41 When & Where Orders Come From42:16 Bootox Week Specials: 20% Off Skincare44:00 Wrap-Up & Sign-Off

Anyone can legally call themselves a "cosmetic surgeon," even your pediatrician. This week, our hosts sit down with Weiler Plastic Surgery's Dr. Mary Ghere to break down what actually separates a board-certified plastic surgeon from a cosmetic surgeon, and why the difference could be the difference between a great result and a medical emergency. We cover the real training timeline, what board certification actually means, why hospital privileges are the ultimate safety signal, and the horror stories that happen when patients don't ask the right questions before going under the knife. If you're considering any cosmetic procedure, watch this first. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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00:00 – Cold Open00:33 – Welcome to The Consult Before The Cut01:02 – Thanks to Our Sponsors03:00 – Today's Topic: Cosmetic Surgeon vs. Plastic Surgeon03:14 – Dolly Parton, Beauty Standards & the Queen of Cosmetic Surgery Acceptance06:20 – A Tribute to Tim Curry09:01 – Dolly's Legacy: Comparisons to Madonna, Jane Fonda & Joan Rivers10:33 – Setting the Record Straight: How Joan Rivers Really Died11:51 – The Steel Magnolias Story: Dolly & Julia Roberts13:24 – Jane Fonda on the Real Dolly Behind the Wig14:22 – Southern Vanity & Taking Pride in Your Look15:19 – Football Season Glam Culture17:07 – Commercial Break18:07 – Dr. Ghere Joins the Conversation19:50 – Dr. Ghere's Path to Becoming a Plastic Surgeon21:03 – How Long Does It Actually Take? Med School + Residency Breakdown23:09 – The Match Process: Why You Can't Just "Choose" Plastic Surgery25:24 – Do All Surgeons Start in General Surgery?27:18 – Training Locations & the Residency "Match Day" Experience28:40 – What Is Plastic Surgery, Really? "The True Generalist"29:37 – Inside the OR: Stories From Training32:06 – The History of Plastic Surgery (World War I Origins)33:03 – How Hospital Credentialing Actually Works34:49 – The Miami Horror Story: Strip-Mall Surgery Exposed35:51 – Anyone Can Call Themselves a "Cosmetic Surgeon" — Legally36:36 – Cosmetic vs. Aesthetic: Why Plastic Surgeons Use Different Language37:26 – The Fake Board: American Board of Cosmetic Surgery Explained39:59 – Can a Cosmetic Surgeon Legally Do Everything a Plastic Surgeon Does?41:02 – Hospital Privileges: The Real Line Between Safe and Risky42:46 – Can a Non-Plastic Surgeon Become Board-Certified Later?43:28 – How Rare Are Board-Certified Plastic Surgeons? (The NFL Stat)45:23 – Finding the Right Specialist: A Personal Example46:49 – The "Facial Plastic Surgeon" Loophole48:03 – Why Dr. Ghere & Dr. Weiler Focus on Facial Aesthetics49:49 – Passion vs. Profession: What It Really Takes51:00 – The Sacrifices Behind Becoming a Plastic Surgeon52:51 – The Art of Plastic Surgery: Predicting Outcomes54:10 – Personality of a Plastic Surgeon: Precision & Perfectionism54:44 – Why Patient Outcomes Are Personal, Not Just Professional56:18 – Closing Thoughts & Sign-Off

Do hair extensions ruin your natural hair? How much do they really cost? And how do you find a stylist you can trust? In this week's episode, our hosts break down everything you need to know before booking hair extensions. Later, they're joined by Kristyn Hamilton, hairstylist and extension specialist in Baton Rouge, LA. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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0:00 Cold Open0:29 Welcome + Sponsor Shoutouts3:03 Today's Topic: Hair Extensions4:53 Hair Loss in Men vs. Women: Fight It or Shave It?6:08 How the Standard for "Perfect Hair" Keeps Rising7:39 Growing Up With Wigs, Clip-Ins & Spray-On Scalp Cover-Ups9:40 Balding Husbands, Beards & Pandemic Head-Shaving13:28 Commercial Break14:28 Meet Kristyn Hamilton: Hairstylist & Extension Specialist16:16 How to Become a Hairstylist (1,500 Hours of Hair School)18:08 How Stylists Learn Extensions19:44 Extension Methods Explained: Beaded Wefts, K-Tips, I-Tips & Tape-Ins25:01 Human vs. Synthetic Hair & Where Extension Hair Comes From26:33 How Common Are Extensions? Bringing Up the Conversation29:23 Extensions Are the New Botox: Ending the Stigma30:40 Length, Fullness or Color: Why Clients Get Extensions32:31 How Long Does an Extension Install Take?34:01 The Extension Consultation: Color Matching & Placement36:25 Who Should Wait on Extensions? Lifestyle & Postpartum Shedding37:43 Curly & Wavy Extensions39:28 Can You Tell? Wearing Your Hair Up With Extensions41:35 Choosing the Right Stylist: What to Ask & Look For42:57 Why Continuing Education & Hair Shows Matter45:19 How Long Extensions Last & Move-Up Schedule46:44 Caring for Extensions: Brushing, Matting & Maintenance49:09 Myth Busting: Do Extensions Make Your Hair Fall Out?50:34 More Myths: Washing, Brushing & Wearing Your Hair Up51:29 Bonus: Hair Loss Tips for Men (Vitamins, LED Caps & More)52:50 How Much Do Hair Extensions Cost?54:49 Extension Damage & Improper Removal Fears55:29 Where to Find Kristyn + Sign-Off

What exactly is PDGF (platelet-derived growth factor), and why is it becoming one of the hottest topics in regenerative aesthetics? This week, our hosts break down how PDGF works, how it compares to PRP, PRF, and exosomes, and why concentration and consistency matter for real results. Later, they're joined by Charlie Hee, PhD, Chief Scientific Officer at Lynch Regenerative Medicine (LRM), who explains the science behind recombinant PDGF-BB, how it's manufactured, and how it's used topically after procedures like microneedling, RF microneedling, laser resurfacing, and chemical peels to support healing and enhance results. Whether you're a patient considering post-procedure skincare or a provider curious about the future of regenerative aesthetics, this episode gives you the real science. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 – Cold Open00:35 – Welcome Back & Banter02:58 – Odd Places for Filler: Ears, Hands & Feet11:03 – Setting Up Today's Topic: What Is PDGF?12:54 – Why Truth in Aesthetics Matters (Avoiding Gimmicks)15:24 – Commercial Break16:24 – Welcome Charlie Hee, Chief Scientific Officer at LRM16:58 – Charlie's Background: From Bioengineering to Aesthetics22:40 – Taylor Joins the Conversation22:58 – What Is Platelet-Derived Growth Factor (PDGF)?25:44 – The "Trauma Team" Analogy Explained26:29 – Where Does PDGF Come From? (Not From Blood Draws)29:05 – Recombinant Technology & Why It Matters32:14 – Breaking It Down: The Pig Kidney Analogy35:21 – PDGF vs. PRP: The Consistency Problem37:36 – The Wave Pool Analogy: Predictable vs. Variable Results38:15 – Different PDGF Formulations for Different Uses41:04 – Why Consistency Beats Trauma Team as We Age43:39 – FDA Regulation: Cosmetic vs. Medical Classification44:55 – Injectable PDGF Trend: What You Need to Know48:04 – Best Use With CO2 Lasers & Deep Plane Facelifts50:27 – Post-Procedure Aftercare Guidelines52:37 – How Much Does It Cost?53:27 – Could PDGF Help With Hair Loss?55:36 – The Future of Regenerative Medicine & AI57:41 – Final Thoughts & Thank You to Charlie58:19 – Outro & Where to Follow Us

Thinking about getting dermal filler? Board-certified plastic surgeon Dr. Jonathan Weiler and expert injector Taylor Bech break down the real risks of filler injections, from bruising and swelling to rare complications like vascular occlusion, biofilms, and granulomas. Learn the difference between normal side effects and true filler complications, how to choose a safe, qualified injector, and the questions you should always ask before your next appointment. Whether you're a first-time filler patient or just want to separate fact from fear, this episode gives you the honest, expert breakdown you won't get on social media. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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0:00 – Cold Open0:29 – Intro & Welcome2:03 – Staying Open-Minded in a World of Medical Disinformation5:51 – How Medicine Advances: The HRT Example11:07 – Story: The Patient Who Lost Trust Over "5 Days"14:33 – Story: The Emergency Surgery & the Familiar Last Name16:29 – Thanking Our Sponsors18:02 – Today's Topic: Dermal Filler Complications18:33 – Commercial Break19:33 – Welcome Back: Diving Into Filler Complications20:21 – Botox Complications vs. Filler Complications21:01 – "Fillers Are Very, Very Safe" — Setting Expectations22:59 – Risk Levels: Botox vs. Fillers vs. Surgery25:03 – The Injector Training Gap (The Plumber Analogy)28:11 – Informed Consent & Normal Side Effects (Bruising, Swelling, Lumps)31:32 – Biofilms & Granulomas: Aseptic Technique Matters33:49 – Myth-Busting: Does Filler Ever Fully Dissolve?36:00 – Complications From Poor Technique & Wrong Placement37:55 – The Danger of Sketchy Clinics (Non-FDA Filler, Silicone)38:49 – Nodules vs. Serious Complications39:24 – Vascular Occlusion Explained41:32 – Why Regulated Surgical Centers Matter42:52 – Warning Signs & How Vascular Occlusion Is Treated45:56 – Can a Complication Happen After You Leave the Clinic?47:32 – Myth: Does Filler Ruin a Future Facelift?52:11 – HA vs. PLA (Sculptra) vs. Radiesse: Which Has Higher Risk?54:23 – Putting the Risk in Perspective (Driving vs. Flying)56:18 – How to Vet a Filler Provider: Questions to Ask57:04 – If You've Had One Complication, Are You More at Risk Again?1:00:09 – Final Thoughts: Trust, Safety & Informed Patients1:01:33 – Outro & Subscribe

Can a prescription drop really give you longer, thicker, darker lashes; no extensions, no falsies, no glue? This week our hosts break down everything you need to know about Latisse, the only FDA-approved prescription treatment for eyelash growth. Later in the episode, patient Allison shares her experience with the product. Whether you're lash-extension-fatigued, curious about the science, or just want to know if it's worth the price tag, this episode has you covered. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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Can fillers and Botox really delay the need for a facelift, or is that just marketing? Board-certified plastic surgeon Dr. Jonathan Weiler and expert injector Taylor Bech break down the real anatomy of facial aging, who's actually a good candidate for injectables vs. surgery, how deep plane facelift techniques have evolved, and why Botox is a lifelong commitment no matter what else you do. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 — Intro & welcome02:04 — Why fear holds people back from plastic surgery & injectables04:01 — AI, filters, and unrealistic beauty standards08:32 — Today's topic: facial balancing vs. facelifts08:56 — Taylor's background working alongside a plastic surgeon09:28 — How fillers and facelifts have evolved over the years10:24 — Sponsor thanks12:05 — Break13:06 — Recapping the debate13:57 — Anatomy 101: the "tablecloth" analogy for facial aging19:54 — Injection planes and compartments explained22:45 — Different filler types and consistencies25:06 — Who's the ideal injectable patient?27:19 — Skin integrity vs. filler results28:05 — Can early skincare/filler delay surgery down the road?30:25 — Facelift age trends & the rise of endoscopic facelifts33:06 — Deep plane facelifts & the "Amazon box" neck analogy35:43 — Buccal fat, explained37:25 — Sculptra and facelift complications39:19 — Kybella: pros, cons, and surgical impact40:15 — Should you dissolve filler before a facelift?41:55 — Combining fat transfer and filler with facelifts42:34 — Facelift as "instant gratification"43:17 — Benefits and downsides of delaying a facelift with fillers45:07 — Why Botox is irreplaceable at any age45:54 — How long do facelift results actually last?47:04 — Treatment breakdown by decade: 20s, 30s, 40s, 50s48:17 — Aggressive intervention in younger patients — good idea?49:04 — Myth or Reality: rapid-fire round51:13 — Facial balancing vs. anti-aging — the key distinction51:56 — Final advice for listeners53:07 — Outro

Think it's too late to build muscle after 60? Think again. This week, the hosts sit down with certified menopause fitness coach and former IFBB Bikini Pro competitor Wanda Mayeux to break down what's really happening to women's bodies during perimenopause and menopause. Whether you're in perimenopause, full menopause, or just want to understand what's coming, this episode is packed with real talk and practical takeaways. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 – Cold Open00:32 – Intro & Welcome05:16 – Why Menopause Is Having Its Moment08:28 – Sponsor Shoutout09:39 – Commercial Break10:40 – Meet Wanda Mayeux11:24 – From Cardio Queen to Bodybuilder at 4914:10 – What "Balanced Physique" Means in Competition15:38 – Was She in Menopause When She Started?18:21 – Inside Her Competition Training (800 Calories a Day)22:54 – Breaking the Stigma Around Women Lifting Weights24:00 – How She Became a Glute Training Specialist24:58 – Why Glutes Matter for Aging & Longevity26:44 – Glute Specialist vs. Regular Personal Trainer28:38 – Why Menopausal Women Need a Different Approach29:14 – Wanda's Hormone Journey (Hair Loss Wake-Up Call)33:11 – Life After Starting HRT33:47 – Coaching Walkthrough: What She'd Tell a New Client36:32 – Real Client Success Story37:21 – How She Tracks Progress (Without the Scale)38:36 – How Long It Really Takes to See Results40:39 – The Glute Training Device She Invented43:12 – Why This Work Is So Rewarding45:24 – Rapid-Fire Menopause Myth Busting47:34 – Final Myth: "Too Late After 60"?47:40 – Where to Find Wanda & Outro